Provider Demographics
NPI:1891295473
Name:FLOYD, MA GLENDA B (LVN)
Entity Type:Individual
Prefix:MS
First Name:MA GLENDA
Middle Name:B
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:MA GLENDA
Other - Middle Name:B
Other - Last Name:FLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:4903 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-2647
Mailing Address - Country:US
Mailing Address - Phone:325-864-4961
Mailing Address - Fax:
Practice Address - Street 1:4903 S 6TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-2647
Practice Address - Country:US
Practice Address - Phone:325-864-4961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339910164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse